Jay Staley is a student in an organized health care education training program in Evanston, WY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jay Staley NPI is 1265214688. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
350 CITY VIEW DR STE 206
EVANSTON, WY
ZIP 82930-326
Phone: (307) 789-7915
Fax: (307) 789-6009
The enumeration date for this NPI number is 10/19/2023 and was last updated on 10/19/2023.